OPEN EXAMINATIONS CENTRE
Cambridge Centre for Sixth-form Studies

EXAMINATION REGISTRATION FORM

[Please read accompanying letter before completing this form]

CANDIDATE DETAILS: Tick this box if you have taken exams as an external candidate at CCSS before

SURNAME
FIRST NAME(S)
GENDER
DATE OF BIRTH
NAME OF PARENT/GUARDIAN IF UNDER 18
TELEPHONE NUMBER / Home: Mobile:
EMAIL ADDRESS
CORRESPONDENCE ADDRESS
UCI if known
[12 digits followed by a letter]
SPECIAL ALLOWANCES / Have you been entitled to extra time allowances in the examinations? YES / NO (please circle)
Applications for additional time must be made at the time of registration otherwise the allowances will not be granted.If allowances have been made please attach relevant paperwork to this form.
Examination to be taken in / November January June

EXAMINATION DETAILS:

SUBJECT / Tier (GCSE only)
EXAMINATION BOARD / IGCSE / GCSE/ O level/ AS level/ A level
Pre-U (please circle)
Unit codes (A level) or Syllabus number and unit codes, option codes (if applicable) (GCSE/IGCSE)
If A/AS level do you wish a code to be entered so that you obtain a final AS level or A level grade?
YES OR NO (please circle) CODE:
SUBJECT / Tier (GCSE only)
EXAMINATION BOARD / IGCSE / GCSE/ O level/ AS level/ A level
(please circle)
Unit codes (A level) or Syllabus number and unit codes (GCSE/IGCSE)
If A/AS level do you wish a code to be entered so that you obtain a final AS level or A level grade?
YES OR NO (please circle) CODE:
SUBJECT / Tier (GCSE only)
EXAMINATION BOARD / IGCSE / GCSE/ O level/ AS level/ A level
(please circle)
Unit codes (A level) or Syllabus number and unit codes (GCSE/IGCSE)
If A/AS level do you wish a code to be entered so that you obtain a final AS level or A level grade?
YES OR NO (please circle) CODE:

Signature…………………………………………………………… Date……………………

(CCSS useonly) / CANDIDATE NUMBER / Amount paid / Balance due / ID

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